Organization Active NPI

Center for Ankle & Foot Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Clermont, FL
National Provider Identifier
1194850107
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4690780001 Issued in FL
Legal business name
CENTER FOR ANKLE & FOOT CARE INC
Practice address
3190 Citrus Tower Blvd Ste a
Clermont, FL 34711
Phone
(352) 242-2502
Fax
(352) 242-0316
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tim James Henne, DPM
Title
Doctor
Phone
(352) 242-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4690780001 FL Primary

Addresses

Primary practice location

3190 Citrus Tower Blvd Ste a
Clermont, FL 34711

Mailing address

3190 Citrus Tower Blvd Ste a
Clermont, FL 34711-6886
Phone (352) 242-2502

Other practice location 1

3150 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6802
Phone (352) 242-2502

Other identifiers 1

IdentifierTypeStateIssuer
4690780001OtherFLDME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1194850107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116886",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Citrus Tower Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116802",
            "country_code": "US",
            "telephone_number": "352-242-2502",
            "fax_number": "352-242-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR ANKLE & FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "352-242-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "4690780001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4690780001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.